Brainomix vs EchoNous
Kosmos is a device carried to the bed, and Brainomix is software behind the CT scanner, so a hospital buys them for different services. The Kosmos buyer is a critical-access emergency department that scans at the bedside. EchoNous sells the handheld with AI for bladder volume, ejection fraction, Doppler gate placement and FAST view labeling, and the vendor says Kosmos Plus costs less than $20k, currency not stated, with a five-year warranty.
EchoNous has four Kosmos openFDA decisions, the latest K242321 in April 2025. Kosmos was among four to six handheld devices compared by experts in multi-device papers published in 2022, 2024 and 2025.
Brainomix serves stroke programs, with smartphone alerts for suspected large vessel occlusion and intracranial hemorrhage, and e-ASPECTS (K221564) and e-CTP (K223555) on its openFDA record. The vendor cites a 2025 Lancet Digital Health paper reporting a 100% increase in thrombectomy rates across 107 hospitals and 452,000 patients over five years.
Radiology · Reviewed November 2, 2026
Brainomix
by Brainomix Limited · founded 2012
FDA-cleared AI scoring and large vessel occlusion flagging for stroke CT, CTA, CTP and MRI, plus CT lung quantification.
EchoNous
by EchoNous Inc. · founded 2016
Kosmos handheld ultrasound with AI bladder volume, ejection fraction, Doppler gate and FAST view guidance.
When to pick each one
Brainomix
- Smartphone alerts for suspected LVO and ICH
- e-ASPECTS and e-CTP on the openFDA record
EchoNous
- AI bladder volume, ejection fraction and FAST guidance
- Vendor says Kosmos Plus under $20k, currency not stated
- Four Kosmos openFDA decisions, latest April 2025
Score
Each row shows points earned of points available under the published rubric.
Brainomix
64of 100
EchoNous
78of 100
| Dimension | Brainomix | EchoNous | Difference |
|---|---|---|---|
| FDA clearance | 18 / 18 | 18 / 18 | 0 |
| HIPAA / SOC2 / BAA | 0 / 10 | 10 / 10 | -10 |
| EHR integrations (count) | 0 / 4.2 | 0 / 4.2 | 0 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 0 / 2.4 | 0 / 2.4 | 0 |
| Peer-reviewed papers | 18.2 / 18.2 | 18.2 / 18.2 | 0 |
| RCT / meta-analysis / systematic review | 0 / 7.8 | 7.8 / 7.8 | -7.8 |
| Funding & adoption signal | 8.4 / 12 | 3 / 12 | +5.4 |
| Pricing transparency | 2.5 / 5 | 2.5 / 5 | 0 |
| Years in market | 6 / 6 | 6 / 6 | 0 |
Scroll horizontally to see every column.
Pricing
Brainomix
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. |
EchoNous
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. The vendor says Kosmos Plus costs less than $20k. |
Evidence
Brainomix
FDA decisions
K260406 (opens in new tab)510(k)2026-06-12
Brainomix 360 Hyperdensity
K251983 (opens in new tab)510(k)2025-08-26
Brainomix 360 Triage Stroke
K242411 (opens in new tab)510(k)2025-02-19
Brainomix 360 e-Lung
K243294 (opens in new tab)510(k)2025-02-14
Brainomix 360 e-ASPECTS
K242123 (opens in new tab)510(k)2025-01-06
Brainomix 360 e-CTA
Show 8 more
K233875 (opens in new tab)510(k)2024-05-13
Brainomix 360 e-Lung
K232496 (opens in new tab)510(k)2023-11-21
Brainomix 360 Triage Stroke
K231837 (opens in new tab)510(k)2023-09-28
Brainomix 360 Triage LVO
K231656 (opens in new tab)510(k)2023-08-30
Brainomix 360 e-MRI
K231195 (opens in new tab)510(k)2023-07-27
Brainomix 360 Triage ICH
K223555 (opens in new tab)510(k)2023-06-01
Brainomix 360 e-CTP
K221564 (opens in new tab)510(k)2023-02-23
Brainomix 360 e-ASPECTS
K192692 (opens in new tab)510(k)2020-05-28
Brainomix 360 e-CTA
Peer-reviewed
5 PubMed records name Brainomix.
- Transforming Stroke Diagnosis with Artificial Intelligence: A Scoping Review of Brainomix e-Stroke, Aidoc, RapidAI, and Viz.ai. (opens in new tab)
- Real world clinical experience of using Brainomix e-CTA software in a medium size acute National Health Service Trust. (opens in new tab)
- Assessing the eligibility of Brainomix e-ASPECTS for acute stroke imaging. (opens in new tab)
EchoNous
FDA decisions
K242321 (opens in new tab)510(k)2025-04-25
Kosmos
K233826 (opens in new tab)510(k)2024-08-29
Kosmos
K212100 (opens in new tab)510(k)2021-08-06
Kosmos
K193518 (opens in new tab)510(k)2020-03-26
KOSMOS
Peer-reviewed
5 PubMed records name EchoNous.
- Army Medic Performance in Trauma Sonography: The Impact of Artificial Intelligence Assistance in Focused Assessments With Sonography in Trauma-A Prospective Randomized Controlled Trial. (opens in new tab)
- Point-of-care AI-enhanced novice echocardiography for screening heart failure (PANES-HF). (opens in new tab)
- Validation of a hand-held ultrasound device in the evaluation of aortic stenosis. (opens in new tab)
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | Brainomix | EchoNous |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Not specified | Not specified |
| Founded | 2012 | 2016 |
| HQ | GB | US |
Scroll horizontally to see both columns.
Common questions
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